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1、HumanandAnimalVaccinationDeliverytoRemoteNomadicFamilies,ChadEstherSchelling,*1MahamatBechir,†MahamatAbdoulayeAhmed,†KasparWyss,*ThomasF.Randolph,‡andJakobZinsstag*VaccinationservicesforpeopleandlivestockoftenfailOneofthe4strategiesoftheWorldHealthtoachievesu
2、fficientcoveragesinAfrica’sremoteruralset-Organization(WHO)andtheUnitedNationsInternationaltingsbecauseoffinancial,logistic,andservicedeliveryChildren’sEmergencyFundtoachievetheirvisionofequi-constraints.InChadfrom2000through2005,wedemon-table,sustainable,and
3、high-coverageimmunizationamongstratedthefeasibilityofcombiningvaccinationprogramsforchildrenandwomenbytheyear2015istheprovisionofnomadicpastoralistsandtheirlivestock.Sharingoftrans-vaccinationserviceslinkedtootherhealthinterventions.Toportlogisticsandequipmen
4、tbetweenphysiciansandvet-erinariansreducedtotalcosts.Jointdeliveryofhumanandachievecommonhealthgoals,thecross-overbenefitsofanimalhealthservicesisadaptedtoandhighlyvaluedbyintegratingotherinterventionsinpublichealthsuchasdis-hard-to-reachpastoralists.Ininterv
5、entionzones,forthetributionofvitaminA,sellingofinsecticide-treatedmos-firsttime≈10%ofnomadicchildren(>1–11monthsofage)quitonets,anddewormingandmalariatreatmentsofwerefullyimmunizedannuallyandmorechildrenandchildrenareincreasinglybeingacknowledged(3).Initialwo
6、menwerevaccinatedperdayduringjointvaccinationevaluationsoncost-effectivenessofcombinedapproachesroundsthanduringvaccinationofpersonsonlyandnot(4)providetheneededdataformoreefficientplanning.theirlivestock(130vs.100,p<0.001).ByoptimizinguseofForchildrenandforw
7、omenofchildbearingage,limitedlogisticalandhumanresources,publichealthandimmunizationprovidedthroughtheNationalExpandedveterinaryservicesbothbecomemoreeffective,especiallyatthedistrictlevel.ProgramonImmunizationisconsideredoneofthemostcost-effectivepublichealt
8、hinterventionsandsociety’sbesthealthcareinvestment,especiallyindevelopingcountriesVaccinatingpersonsandlivestockinhard-to-reach(5,6).Nationalandglobaleffortsaimtosubstantiallyruralcommuni